Preparing for the NCLEX-RN (National Council Licensure Examination for Registered Nurses) exam? Obstetrics is one of the areas our deck drills hardest: 70 of its 1030 flashcards focus on obstetrics. Try the sample questions below — every card is a real question-and-answer pair from the full deck.
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A client with a BMI of 24 is at 10 weeks gestation. History: 1 spontaneous abortion (8 weeks), 1 term birth (39 weeks), 1 preterm birth (34 weeks). Both children are living. Calculate the GTPAL.
Show answer →G4, T1, P1, A1, L2. G (Gravida): 4 pregnancies total including current. T (Term): 1 (birth at 37+ weeks). P (Preterm): 1 (birth 20-36.6 weeks). A (Abortion/Miscarriage): 1 (before 20 weeks). L (Living): 2 children. Strategy: NCLEX tests the distinction between gravidity and parity. Note: Twins count as 1 parity/gravida but 2 living. If the current pregnancy is ongoing, it counts in G but not T/P/A until delivery.
During the recovery stage (4th stage), the nurse notes the fundus is boggy and displaced to the right of the midline. What is the first nursing action?
Show answer →Encourage the client to void or perform straight catheterization. A displaced fundus (usually to the right) indicates a distended bladder, which prevents the uterus from contracting effectively, increasing the risk of postpartum hemorrhage. If the fundus is boggy and midline, the first action is fundal massage. NCLEX Tip: Bladder distention is a common cause of early uterine atony.
During amnioinfusion for recurrent variable decelerations, the nurse notes the resting tone on the IUPC has risen to 35 mmHg and fluid is no longer leaking from the vagina. Action?
Show answer →Stop the amnioinfusion immediately. Rationale: An elevated resting tone (>20 mmHg) without visible fluid return suggests the uterus is overdistending, which can lead to uterine rupture or placental abruption. The nurse must ensure that fluid in equals fluid out during this procedure. Clinical Pearl: This is a high-safety priority; the nurse must continuously monitor the IUPC for baseline pressure changes to prevent uterine hyperdistension.
During a vaginal exam of a client in active labor, the nurse palpates a soft, pulsating mass. Simultaneously, the fetal heart rate monitor shows variable decelerations. What is the immediate priority?
Show answer →The findings suggest an umbilical cord prolapse. The nurse must immediately use a sterile gloved hand to apply upward pressure on the fetal presenting part to shift weight off the cord. Key Interventions: 1. Keep the hand in the vagina until the baby is delivered via Cesarean. 2. Position the client in Trendelenburg or Knee-Chest position. 3. Call for emergency assistance and prepare for immediate surgery. 4. DO NOT attempt to push the cord back into the cervix. 5. Wrap the visible cord in sterile, saline-soaked gauze.
A client 4 days postpartum presents with pelvic pain, uterine tenderness, and a temperature of 101.4°F (38.5°C). What is the most likely complication the nurse should suspect?
Show answer →Endometritis (infection of the uterine lining). It typically manifests within 2-5 days postpartum. Key findings: Fever >100.4°F after the first 24 hours, tachycardia, chills, and foul-smelling lochia. Management includes IV broad-spectrum antibiotics (e.g., clindamycin and gentamicin). NCLEX Tip: A slight temp elevation (<100.4°F) in the first 24h is often dehydration, not infection.
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Try 30 free NCLEX-RN cards firstThe full NCLEX-RN deck contains 1030 flashcards, and 70 of them focus on obstetrics. This page shows 5 free samples.
Our NCLEX-RN deck dedicates 70 of 1030 cards (7%) to obstetrics — always cross-check the official NCSBN exam outline for the current blueprint weighting.
Yes — the samples on this page are free, and the NCLEX-RN preview page has 30 more free cards. Full access to all 1030 cards is a one-time $7.
Management
90 cards
Pathology
210 cards
Pediatrics
70 cards
Pharmacology
120 cards
Procedures
120 cards
Psychology
90 cards
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